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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT. WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />:,L� �-�1 ��1c���w� ��v. <br />PROJECT ADDRESS <br />Owner <br />Tenanl <br />Mail Address <br />Mail Address <br />City <br />City <br />a _�8 -a� <br />C o 60 2`�7 <br />lJv�. �(�aS 3y� <br />Stale/Zip Phone <br />State/Zip Phone <br />\�I�c4s�a�,� Gi �E� «�� -� �v 5��c � o`d8 .�I��� l�A. QB�rd 3��'�)� a�i <br />EIeCUiCaI CanlraClor Mail Address Cily State2ip Phone <br />��i t S�TC71('l� 11 <br />Slate License Number <br />� <br />Alfc�r�GP�O. <br />Proposed Use Buildinc� <br />Descriplion of Work to De Done: <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN ftACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />Contrect Price of Work <br />Conlact Person (Plan Review) <br />I hereby certi(y fhaf I have read and examined this applicafion and kno�v fhe same fo be true and <br />correct. All provisions o( laws and ordinances govermng fh�s type oI work wi116e complefed <br />�vhefher speci6ed herein or noL The grantiny ol a pennd does nol resume to give authonty fo <br />violate or cancel fhe provisions of any other slafe or local law reguPting construcfion or the <br />perlormance olconstruc6on. Thaf I am aufhorized by fhe owner ol fhis property to peAorm the <br />�vork Ior which applica(ion is made and 1 cornpty wifh Ihe State Confractors Law 18.27 RCW and <br />296.200 WAC. <br />FEE <br />